Individual provider Active NPI

Savanna Kay-Ella Smola, CNM

  • Advanced Practice Midwife
  • Pensacola, FL
National Provider Identifier
1386363182
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN11028739 Issued in FL
Practice address
5153 N 9TH Ave Ste 307
Pensacola, FL 32504-5719
Phone
(850) 416-6384
Fax
(850) 416-6394
NPI assigned
Aug 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APRN11028739 FL Primary

Addresses

Primary practice location

5153 N 9TH Ave Ste 307
Pensacola, FL 32504-5719

Mailing address

4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Phone (904) 450-6063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221025000143 GA Practitioner - Certified Nurse Midwife (CNM) 4880060318 Reassigns benefits to 1 organization
I20231011003774 FL Practitioner - Certified Nurse Midwife (CNM) 4880060318 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
APRN11028739FLMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health System, Inc. Current Accepting new patients
St. Francis Physician Practices LLC CurrentSince Dec 1, 2022 Accepting new patients
St Francis Physician Practices LLC CurrentSince Dec 1, 2022 Accepting new patients
Sacred Heart Health System Inc CurrentSince Sep 25, 2023 Accepting new patients
St. Francis Physician Practices LLC Current Accepting new patients
Sacred Heart Health System, Inc. CurrentSince Sep 25, 2023 Accepting new patients

Locations

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

5153 N 9th Ave
Ste 307
Pensacola, FL 32504
Phone (850) 416-7119

4501 N Davis Hwy
Ste A
Pensacola, FL 32503
Phone (850) 476-9000

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

Interoperability endpoints

  • Direct secure messaging: savanna.smola.1@9582.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1386363182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BELFORT RD STE 4015",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163623",
            "telephone_number": "904-450-6063",
            "fax_number": "904-539-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5153 N 9TH AVE STE 307",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325045719",
            "telephone_number": "850-416-6384",
            "fax_number": "850-416-6394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOLA",
        "first_name": "SAVANNA",
        "middle_name": "KAY-ELLA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "APRN11028739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.